Active NPI
Michael Anthony Cernoia
- Pharmacist
- Pueblo West, CO
National Provider Identifier
1851978761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0023425
- Practice address
- 470 S Maher Dr
Pueblo West, CO 81007-1636 - Phone
- (719) 252-7080
- NPI assigned
- Mar 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0023425 | CO | Primary |
Addresses
Primary practice location
470 S Maher Dr
Pueblo West, CO 81007-1636
Mailing address
470 S Maher Dr
Pueblo West, CO 81007-1636
Phone (719) 252-7080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0023425 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1851978761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 S MAHER DR",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810071636",
"telephone_number": "719-252-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 S MAHER DR",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810071636",
"telephone_number": "719-252-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERNOIA",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-26",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0023425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo West, CO
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Katherine Chadderdon
- Stephanie Amanda Chamberlin
- Cherish Life Mentorship Program
- Choice by Choice Counseling & Consulting LLC
- Tara Marie Sidiq Christensen, CSFA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.